| Ms Maija L Duppong, | |
|
111 2nd St Ne, Fosston, MN 56542-1301 | |
| (218) 435-1111 | |
| (218) 435-1112 |
| Full Name | Ms Maija L Duppong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 111 2nd St Ne, Fosston, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053555797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 188975-4 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Home Care West | Detroit lakes, MN | Home health agency |
| Essentia Health Fosston | Fosston, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Lifecare Medical Center | Roseau, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Headwaters Health Pc | 0143718304 | 10 |
| Sanford Health Of Northern Minnesota | 5597725168 | 349 |
| Bridges Medical Center | 4981659851 | 22 |
| Altru Health System | 1355251604 | 675 |
| Lifecare Medical Center | 4789586884 | 55 |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20040121000061 |
| Entity Name | Sanford Health of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Headwaters Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821976903 PECOS PAC ID: 0143718304 Enrollment ID: O20251021002430 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maija L Duppong, 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1111 | Ms Maija L Duppong, 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1111 |
Breah Christianson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 |
Sheila K Teiken, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 2nd St Ne, Fosston, MN 56542 Phone: 218-435-1111 Fax: 218-435-1112 |
Nicholas Chandler Woods, APRN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134 |
Mei Wen W Sather, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1500 |
Carlie J Pletschett, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 2nd St Ne, Fosston, MN 56542 Phone: 218-435-1111 Fax: 218-435-1117 |
Nan Vobr, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 |